Look for the later model GM 4500's like said, the ealy ones will not work. My K5 is running a 95 12 valve, dodge bellhousing, GM 4500 (from a 00 diesel truck) with a oversize Dodge input shaft and bearing retainer, with a GM round pattern 32 spline 205 behind it. I am using a long input t case with the Advance adapters 1 5/8" spacer, as I did not like the amount of "clearencing" of the tail housing on the trans in order to run the short input (the case will bolt right to the back of the trans).
Another option is to use a Dodge 4500, which is 29 spline, and find a Dodge 205 from a first gen 89-93 cummins truck with a manual. I looked into that setup and ran into problems finding the t case so I went the GM trans with Dodge input route.
As far as clutch hydro's go, that can depend on what clutch you run. I'm using a South Bend twin disc so the stock stuff wont cut it, Im using South bend stuff with a modded mount tied to stock GM hydro pedals.
I dont know if he is still around, but, there is a guy named Scott (Tennessee diesel conversions) his screen name is crewcab59 IIRC and he sells or used to sell a clutch hydro setup that was a bolt on for this swap. I have not seen him here in a while but I think he may still be active over at 4btswaps.com (same screen name) he is a decent guy to deal with.
If you have any questions feel free to ask
also check out this thread>>>
http://coloradok5.com/forums/showthread.php?t=288534 he recently swapped from a getrag to a 4500 and had some good info on how he did the hydro stuff.